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Work Schedule
Standard (Mon-Fri)
Environmental Conditions
Office
Job Description
Are you ready to take your career in Medical Affairs to the next level? Thermo Fisher Scientific Inc. is seeking a highly motivated and experienced Medical Scientific Reviewer to join our outstanding team.
We are dedicated to enabling our customers to make the world healthier, cleaner, and safer. As one of th...

As a trusted global transformation partner, Welocalize accelerates the global business journey by enabling brands and companies to reach, engage, and grow international audiences. Welocalize delivers multilingual content transformation services in translation, localization, and adaptation for over 250 languages with a growing network of over 77,000 in-country linguistic resources. Driving innov...

Summary
Join our team serving active and retired US military members and their covered family members. We strive to ensure that these dedicated individuals and their loved ones receive high-quality care administered as economically as possible and in accordance with current evidence-based care guidelines. As part of our expanding team of medical reviewers, you will evaluate the medical ...

Summary
Join our team serving active and retired US military members and their covered family members. We strive to ensure that these dedicated individuals and their loved ones receive high-quality care administered as economically as possible and in accordance with current evidence-based care guidelines. As part of our expanding team of medical reviewers, you will evaluate the medical ...

Current Employees:
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet .
The Concurrent Quality Reviewer of our hospital reviews documentation in the electronic medical...

Overview
As a Utilization Management Medical Reviewer for our asleep program you will conduct utilization reviews for medical necessity determinations. As appropriate and when required, this position interfaces with the internal staff, Providers, and ordering physicians.
Responsibilities
In this role, you will:
* Conduct medical necessity review on cases that may not meet criteria, a...

Responsibilities:
Under the direction of the supervisor, the Clinical Care Reviewer UM is responsible for completing medical necessity reviews. Using clinical knowledge and experience, the Clinical Care Reviewer UM reviews the provider requests for inpatient and outpatient services, working closely with members and providers to collect all information necessary to perform a thorough medi...

JOB TITLE (#25123) : Nurse Practitioner / Mental Health / VA Reviewer - Remote
Minimum of 5 years active clinical practice within the specialty and 2 years of recent experience
Greenlife Healthcare Staffing is currently seeking a Mental Health Nurse Practitioner - VA Reviewer to fill an opening with a Non-profit organization
Requirements of the Nurse Practitioner / Mental Health / ...

JOB TITLE (#25122) : Licensed Vocational Nurse / Mental Health / VA Reviewer - Remote
Minimum of 5 years active clinical practice within the specialty and 2 years of recent experience
Greenlife Healthcare Staffing is currently seeking a Mental Health Licensed Vocational Nurse - VA Reviewer to fill an opening with a Non-profit organization
Requirements of the Licensed Vocational Nurse ...

JOB TITLE (#25121) : Licensed Vocational Nurse / Med/Surg / VA Reviewer - Remote
Minimum of 5 years active clinical practice within the specialty and 2 years of recent experience
Greenlife Healthcare Staffing is currently seeking a Med Surg Licensed Vocational Nurse - VA Reviewer to fill an opening with a Non-profit organization
Requirements of the Licensed Vocational Nurse / Med/Surg ...

JOB TITLE (#25120) : Registered Nurse / Med/Surg (Tier 3) / VA Reviewer - Remote
Minimum of 5 years active clinical practice within the specialty and 2 years of recent experience
Greenlife Healthcare Staffing is currently seeking a Med Surg Registered Nurse - VA Reviewer to fill an opening with a Non-profit organization
Requirements of the Registered Nurse / Med/Surg (Tier 3) / VA Rev...

JOB TITLE (# 25022 ): Mental and Behavioral Health RN / VA Reviewer - Remote
Minimum of 5 years active clinical practice within the specialty and 2 years of recent experience
Greenlife Healthcare Staffing is currently seeking a Mental and Behavioral Health Registered Nurse - VA Reviewer to fill an opening with a Non-profit organization
Requirements of the Mental and Behavioral Healt...

JOB TITLE (#25164) : Nurse Practitioner / Med/Surg (Tier 3) / VA Reviewer - Remote
Minimum of 5 years active clinical practice within the specialty and 2 years of recent experience
Greenlife Healthcare Staffing is currently seeking a Med Surg Nurse Practitioner - VA Reviewer to fill an opening with a Non-profit organization
Requirements of the Nurse Practitioner / Med/Surg (Tier 3) / V...

JOB TITLE (# 25021 ): Mental and Behavioral Health PA / VA Reviewer - Remote
Minimum of 5 years active clinical practice within the specialty and 2 years of recent experience
Greenlife Healthcare Staffing is currently seeking a Mental and Behavioral Health Physician Assistant - VA Reviewer to fill an opening with a Non-profit organization
Requirements of the Mental and Behavioral He...

JOB TITLE (#25033 ): Registered Nurse / Wound Care (Tier 3) / VA Reviewer - Remote
Minimum of 5 years active clinical practice within the specialty and 2 years of recent experience
Greenlife Healthcare Staffing is currently seeking a Wound Care Registered Nurse - VA Reviewer to fill an opening with a Non-profit organization
Requirements of the Registered Nurse / Wound Care (Tier 3) /...

The Surgery Clinical Reviewer coordinates, collects, and submits reliable and accurate clinical data to the American College of Surgeon’s National Surgical Quality Improvement Program (NSQIP), through high-quality, complex clinical data interpretation, abstraction, and data validation. This position obtains data via standard and custom reports, analyzes, interpret data's, and identifies opportu...

Schedules Physician Clinical Review (PCR) utilization management reviews (including peer to peer telephone discussions and provider outreach discussions) for Magellan Rx Management clients for medical pharmacy/specialty, PBM, MRX Navigate, and Medicare Part D areas of business. Performs follow-up to ensure reviews occur as scheduled and written reports are generated by Physician Clinical Review...

Schedules Physician Clinical Review (PCR) utilization management reviews (including peer to peer telephone discussions and provider outreach discussions) for Magellan Rx Management clients for medical pharmacy/specialty, PBM, MRX Navigate, and Medicare Part D areas of business. Performs follow-up to ensure reviews occur as scheduled and written reports are generated by Physician Clinical Review...

Grow Healthy
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Acts as a resource and supports the prior authorization request process to ensure that all author...